Provider Demographics
NPI:1851273866
Name:TUCKER, TALISHA C (FNP-C)
Entity type:Individual
Prefix:MS
First Name:TALISHA
Middle Name:C
Last Name:TUCKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7125 PAISLEY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-5192
Mailing Address - Country:US
Mailing Address - Phone:615-497-8303
Mailing Address - Fax:
Practice Address - Street 1:7125 PAISLEY WOOD DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-5192
Practice Address - Country:US
Practice Address - Phone:615-497-8303
Practice Address - Fax:615-497-8303
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily